Microglial phenotype and proinflammatory gene induction in human prefrontal cortex in Alcohol Use Disorder overlap with Alzheimer’s Disease

Abstract

AbstractBackgroundAlcohol Use Disorder (AUD) and heavy alcohol abuse are associated with dementia. However, studies focused on Alzheimer’s disease (AD) tend to exclude heavy alcohol drinking patients. We hypothesize microglial phenotype changes in AUD contribute to degeneration that parallels AD.MethodOrbital frontal cortex (OFC) from moderate drinking controls and heavy drinking AUD individuals paired by age were obtained from the New South Wales Tissue Resource Center in Sydney Australia. Tissue blocks were used for RTPCR gene mRNA and paraffin sections for immunohistochemistry assessment of microglial and proinflammatory genes and proteins, respectively. Fluoro‐Jade B, TUNEL stain and neuron marker NeuN were used to assess degeneration.ResultAUD OFC expressed increased levels of proinflammatory HMGB1, RAGE, and multiple Toll‐like receptors (TLR). In addition, AUD OFC increased expression of the TLR adaptor protein myeloid differentiation primary response 88 (MyD88), NFκB, and proinflammatory cytokines, chemokines, and their corresponding receptors. Iba1, a marker of monocytes and microglia, is increased in AUD, but not mRNA levels. Macrophage‐1 antigen, a complement receptor, is increased in AUD cortex as is CX3C chemokine receptor 1 (CX3CR1), the fractalkine receptor. OX42 staining (CD11b) in also increased. Microglial markers P2ry12, and CSF1R also show greater cellular staining in human AUD. The lysosomal scavenger receptor marker CD68 is also increased in AUD cortex. CX3CR1 and CD11b mRNA are increased in AUD cortex, but not CD68. Interestingly, TMEM119, a specific microglial marker, is decreased in AUD, both mRNA and protein staining in contrast to other markers increasing. Assessment of DNA oxidation using 8‐hydroxy‐2'‐deoxyguanosine (8‐OHdG) a biomarker of oxidative DNA/RNA damage 8‐OHdG+IR indicated AUD more than doubled cortical cells with this marker. Induction of HMGB1‐TLR‐MyD88‐NFκB proinflammatory signaling pathways, oxidative stress and microglial activation correlate with markers of neurodegeneration.ConclusionThe increased expression of TLR receptors, MyD88 and NFkB and increased proinflammatory cytokines are consistent with increased microglial activation and oxidative stress induced degeneration. Studies support alcohol activated microglia‐monocytes as driving loss of NeuN and other neurodegeneration markers. The reduced TMEM119 level with other markers increasing may indicate monocytes are replacing microglia in AUD cortex.